ALMOUTAZ BELLAH SHAKALLY MD, INC
NPI 1821612565
Internal Medicine - Endocrinology, Diabetes & Metabolism in Corona, CA

Active since May 28, 2020
802 MAGNOLIA AVE STE 200, CORONA, CA 92879(951) 444-7006(909) 247-3340 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 25, 2024, Nov 12, 2020, May 28, 2020 (3 updates tracked since 2020).

About Almoutaz Bellah Shakally Md, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALMOUTAZ BELLAH SHAKALLY MD, INC (NPI 1821612565) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Corona, California and active in the NPI registry since May 2020. The organization maintains a secondary practice location in Chino and lists Almoutaz Bellah Shakally, Owner, as its authorized official.

NPPES Registry Identity

NPI1821612565
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameALMOUTAZ BELLAH SHAKALLY MD, INC
Location Address802 MAGNOLIA AVE STE 200Corona, CA 92879-3144
Mailing Address802 Magnolia Ave Ste 200Corona, CA 92879-3144 · (951) 444-7006 · Fax (909) 247-3340
Fax(909) 247-3340
Organization SubpartNo
Authorized OfficialAlmoutaz Bellah ShakallyOwner · (951) 444-7006
Enumeration DateMay 28, 2020
Last NPPES UpdateApril 25, 20243 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1821612565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
802 MAGNOLIA AVE STE 200, Corona, CA 92879

Secondary Practice Location 1

Location 15450 Jefferson Ave Ste 2Chino, CA 91710-3522 · Phone (909) 882-1210 · Fax (909) 882-0716

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Almoutaz Bellah Shakally Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Almoutaz Bellah Shakally MD, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Endocrinology
NPI 1932609054
802 MAGNOLIA AVE STE 200
Corona, CA 92879
(951) 444-7006
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1861632168
399 E HIGHLAND AVE STE 227
San Bernardino, CA 92404
(612) 616-3963
✔ PECOS✔ Accepts Medicare25 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Almoutaz Bellah Shakally MD, Inc's NPI number?

The NPI number for Almoutaz Bellah Shakally MD, Inc is 1821612565. It was assigned to this organization in the NPPES registry on May 28, 2020.

Where is Almoutaz Bellah Shakally MD, Inc located?

Almoutaz Bellah Shakally MD, Inc is located at 802 Magnolia Ave Ste 200, Corona, CA 92879. The listed phone number is (951) 444-7006.

What is Almoutaz Bellah Shakally MD, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Almoutaz Bellah Shakally MD, Inc enrolled in Medicare?

Yes. Almoutaz Bellah Shakally MD, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Almoutaz Bellah Shakally MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Endocrinology, reassign their Medicare billing to Almoutaz Bellah Shakally MD, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Almoutaz Bellah Shakally MD, Inc was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.